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ROBERT E. FECHNER, MD

Arch Otolaryngol Head Neck Surg. 1988;114(6):684-687.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

PATHOLOGIC QUIZ CASE 1

Michael F. Pratt, MD, Charleston, SC

A 38-year-old woman presented with an asymptomatic mass on the right side of her neck detected by her gynecologist during a routine examination. The patient related a history of therapeutic right neck irradiation when she was 3 years old.

Physical examination revealed a 4x3-cm right thyroid nodule. Head and neck examination was otherwise unremarkable. Fine-needle aspiration produced solid cellular material that was consistent with follicular neoplasm by microscopic examination. A technetium Tc 99m thyroid scan showed a nonfunctioning right thyroid mass. Ultrasound study showed a solid nodule in the right thyroid lobe. Results of in vitro thyroid function tests were normal.

A right thyroid lobectomy with isthmusectomy was performed. Frozen section analysis was inconclusive. Gross examination of the surgical specimen revealed a 4.0x3.5x2.0-cm ovoid nodular lesion within the middle and superior pole. The tumor was not encapsulated. The mass was . . . [Full Text PDF of this Article]

Author Affiliations
SECTION EDITOR University of Virginia School of Medicine, Charlottesville

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